Bronkoskopi Yapılan Hastalarda İşlemin Ertelenme ve İptal Nedenleri

Year 2023, Volume: 3 Issue: 1, 10 - 16, 09.04.2023

Zeynep Kızılcık Özkan , Bilkay Serez , Nihal Gacemer , Emine Kaskun

Abstract

Bronkoskopi, endoskop aracılığıyla solunum yollarının görüntülenmesini sağlayan invaziv bir işlemdir. Bu çalışmanın amacı, işlemin ertelenmesi veya iptal edilmesinin nedenlerini değerlendirmektir. Tanımlayıcı tipteki bu çalışma, Nisan 2019-Ocak 2020 tarihleri arasında bir üniversite hastanesinin endoskopi ünitesinde bronkoskopi olması gereken 80 hastanın katılımıyla yapıldı. Hastaların yaş ortalaması 60,8±13,8 yıl (26-86) ve %18,8'i bronkoskopi deneyimine sahipti. Erteleme oranı %8,1 (n=37) ve iptal oranı %9,4 (n=43) bulundu. İşlemin iptal edilmesinin ilk üç nedeni, hastaların korkusu (%22,5), genel sağlık durumunun kötü olması (%8,8) ve alternatif bir işleme sevk edilmesidir (%8,8). İptal nedenleri üzerinde yapılan incelemede ilk üç nedenin (sırasıyla) işlem öncesi gerekli tetkiklerin (kan tahlili, elektrokardiyografi, solunum fonksiyon testi vb.) eksikliği (%11,3), yaşamsal bulguların stabil olmaması (%8,8) %) ve antikoagülan ilaç alımının durdurulmaması (%4,9) olarak belirlendi. Yaklaşık olarak her on hastadan ikisinde bronkoskopi işleminin ertelendiği veya iptal edildiği görülmektedir. Bronkoskopi ünitelerinde çalışan hekim ve hemşireler, bronkoskopi yapılan hastalarda iptal ve ertelemenin önlenebilir nedenlerini belirlemeli, işlemin iptali ve ertelenmesini önlemek için hastalara ön değerlendirme için ek bilgi ve hatırlatmalar yapmalıdır.

Keywords

Bronkoskopi, İptal, HAsta, Erteleme, Bronchoscopy

Supporting Institution

Yok

Project Number

Yok

Reasons for postponement and cancellation of the procedure in patients with bronchoscopy

Abstract

Bronchoscopy is an invasive procedure enabling to visualize the respiratory tract through an endoscope. The aim of this study was to evaluate the causes for postponement or cancellation of the procedure. This descriptive study was conducted with participation of 80 patients who would have had bronchoscopy in the endoscopy unit of a university hospital between April 2019 and January 2020. The mean age of the patients was 60.8±13.8 years (26-86); 18.8% of patients had bronchoscopy experience. the postponement rate was found 8.1% (n=37) and the cancellation rate was found 9.4% (n=43). The first three causes for the cancellation of the procedure included patients' fear (22.5%), poor overall health status (8.8%) and referral to an alternative procedure (8.8%). It was found after a review on the reasons for delay that the first three reasons (respectively) were lack of tests (blood tests, electrocardiography, pulmonary function test, etc.) required before the procedure (11.3%), unstable vital signs (8.8%), and failure to discontinue anticoagulant drug intake (4.9%). It is observed that the bronchoscopy procedure is postponed or cancelled in approximately two out of every ten patients. The physicians and nurses working in bronchoscopy units should determine the preventable causes of cancellation and postponement in patients undergoing bronchoscopy, and provide additional information and reminders to patients for preliminary evaluation in order to prevent cancellation and postponement of the procedure.

Keywords

Bronchoscopy, Cancel, Patient, Postponement

Project Number

Yok

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